Physician
American Specialty Physicians Group INC
American Specialty Physicians Group INC was paid $5.11M by Medicaid between Feb 2018 and Nov 2024, across 19 billing codes. Its largest line is 99233, hospital visit by a doctor, follow-up day (complex) — 50% of everything it billed.
33Billing provider infoAMERICAN SPECIALTY PHYSICIANS GROUP INC
MODESTO, CA 95354
MODESTO, CA 95354
33aNPI1568992923assigned 06/18/2017
33bProvider typeEmergency Medical Services (Emergency Medicine) Physician
28Total paid$5.11M
24GClaims143,277
24DCodes billed19
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Emergency Medical Services (Emergency Medicine) Physician providers in California
Rank by total paid#5 of 43
Median peer was paid$29K
This provider vs. median176×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official THOMPSON, TAMMY controls 19+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 2,766 | $137K | |
| 2019 | 7,685 | $268K | |
| 2020 | 6,396 | $180K | |
| 2021 | 21,392 | $571K | |
| 2022 | 27,015 | $741K | |
| 2023 | 35,626 | $1.10M | |
| 2024incomplete | 42,397 | $2.12M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 50% | 74,407 | 7,130 | $2.56M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 15% | 16,085 | 15,597 | $742K |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 13% | 19,898 | 19,344 | $662K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 7.2% | 12,301 | 2,086 | $366K |
| 99310 | Prolong nursin fac eval 15m | 4.3% | 4,793 | 919 | $221K |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 3.5% | 3,194 | 3,126 | $178K |
| 99223 | Prolong inpt eval add15 m | 2.5% | 2,233 | 2,184 | $126K |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.6% | 1,950 | 1,918 | $82K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | 1.4% | 4,429 | 4,326 | $71K |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 3,180 | 3,073 | $31K |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | <1% | 191 | 143 | $22K |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 44 | 44 | $19K |
7 more codes
| 45378 | Colonoscopy, flexible; diagnostic, including collection of specimen(s) | <1% | 27 | $15K |
| 99497 | <1% | 183 | $7K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 93 | $7K |
| 99316 | <1% | 72 | $3K | |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 60 | $2K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 124 | $1K |
| 12001 | <1% | 13 | $785.60 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialTHOMPSON, TAMMY (VP FINANCE/CFO)
| Provider | Location | Paid |
|---|---|---|
| Central Valley Specialty Hospital INC | Modesto, CA | $130.74M |
| Colusa Medical Center, LLC | Colusa, CA | $5.95M |
| Glenn Medical Center, LLC | Willows, CA | $5.62M |
| Madera Community Hospital | Madera, CA | $3.80M |
| Colusa Medical Center, LLC | Williams, CA | $3.75M |
| Colusa Medical Center, LLC | Orland, CA | $2.44M |
| Colusa Medical Center LLC | Colusa, CA | $2.33M |
| Colusa Medical Center, LLC | Red Bluff, CA | $2.09M |
| Glenn Medical Center, LLC | Willows, CA | $1.73M |
| Colusa Medical Center, LLC | Arbuckle, CA | $1.37M |
| Coalinga Medical Center, LLC | Coalinga, CA | $1.32M |
| Glenn Medical Center, LLC | Willows, CA | $672K |
| Glenn Medical Center, LLC | Willows, CA | $669K |
| Progressive Specialty Therapy Services LLC | Modesto, CA | $404K |
| Progressive Home Health and Hospice Care, LLC | Modesto, CA | $389K |
| Coalinga Medical Center, LLC | Coalinga, CA | $254K |
| Glenn Medical Center, LLC | Willows, CA | $85K |
| Colusa Medical Center LLC | Colusa, CA | $51K |
| 1125 Sir Francis Drake Boulevard Operating Company, LLC | Kentfield, CA | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.